Permit (2) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00671
T EGARE) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2019
Parcel: 1 S136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE# 100
Project: The Partners Group Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Installing (10) new VAV boxes with Trane controls, new ductwork and grills, new fan,and relocating existing fans.
Contractor: AMERICAN HEATING INC Owner: PNWP LLC#2
5035 SE 24TH AVE PNWP LLC
PORTLAND, OR 97202-4765 6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/01/2019 $5,703.91
Class of Work: ALT Type of Const: VB Plan Review 10/01/2019 $1,425.98
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/01/2019 $684.47
Stories: Info Process/Archiving-Lg$2.00(over 10/01/2019 $12.00
11x17)
Project Valuation: $206,000.00 Info Process/Archiving-Sm$0.50(up to 10/01/2019 $12.50
11x17)
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 5 Vent Systems: Total $7,838.86
Hoods: Comm Incinerators: -
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. g /�
Issued By: �..�5 Permittee Signature: ,n �U vo Y 1 .
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Re0e1V� r ' t
1111 III • 13125 SW Hall B1vd.,Tigard,OR 97223 DateB : �!l`j ��f / ° �(�/� �(0 7/
: Phone: 503.718.2439 Fax: 503.598.1960 RECEIVE L_ 5 Review _ y a
Inspection Line: 503.639.4175 teBe. a_c i q --1 r ' l �S/�'
TIGARD Date Ready/By. kris 1 El See Paget foror
Internet: www.tigard-or.gov S E P 17 2019 Notified/Method:./e) , /j" Supplemental information
�"J�"/ 47I, el-
e
x A . ..� „- TYPE OF WO
Y
Mechanical permit fees*are based on the value of the work
❑New construction ® Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$206,000.00
': ' ' To CATLGOIYY OF CO>t'STRII 'Tb€£Y = _ '4 °33: . a 9 am Cv.1'F,NS I i.i s
❑ 1-and 2-family dwelling ® CommerciaL'industrial ❑Accessory building For.special information use checklist
❑Multi-family ❑ Master builder ❑Other: Description Qty. Fa Total
4 ,gr s d Heating/cooling:
JOB SITE INFORMATION AND=t4riCATIOIN _
�� Air conditioning 46.75
Job site address:11850 SW 67"'Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:100 Project name:The Partners Group Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
, *firgl ''DESCRIPTION OF WOf2I Gas fireplace/insert 33.39
Flue vent for water heater or gas
Ten(10)new VAV boxes with Trane controls,new ductwork and grilles,new fan, fireplace 23.32
relocating existing fans. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
f,,t4 Other: 23.32
Ef`PROPERTt OWNER = EI4tANT ,ve
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/Stale/LIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32 _
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT CONTACT PERSON Other: 23.32
Business name:American Heating Inc. Fuel piping:
$14.15 for first four;S4.03 for each additional
Contact name:Amanda Bostic Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
WalUsuspended/unit heater
City/State/ZIP:Portland,OR,97202 Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
Range
E-mail:a.bostic@americanheating.net Barbecue
CONTRACT( '' Clothes dryer(gas)
Business name:American Heating Inc. Other:
I; EcHANICAI.PE .1
Address:5035 SE 24th Ave Subtotal
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038
State surcharge(12%of permit fee)
CCB lie.:33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
,,� q /� days after it has been accepted as complete.
Authorized signature: �'� �,(�. ^ �.. * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda Bostic Date:9/17/2019
I\Building\Permits3MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)